Kazemi Mohsen, Chudolinski Artur, Turgeon Matt, Simon Aaron, Ho Eric, Coombe Lianne
J Can Chiropr Assoc. 2009 Dec;53(4):272-81.
This retrospective longitudinal study aims to describe reported Taekwondo injuries and to examine associations between competitor experience level, age and gender, and the type, location, and mechanism of injury sustained. Additionally, we examined whether recent rule changes concerning increased point value of head shots in adult Taekwondo competition had affected injury incidence.This study was a summation of 9 years of data of competition injury reports, which included 904 injury reports spanning 58 individual competitions. The data was collected on standardized injury reports at time of injury during competition. Care was provided to the athletes, but the type of care provided was not included in the study. Participants included athletes injured during competition who sought care by the health care team, and for whom an injury report was filled out. The data analysis was performed at the Canadian Memorial Chiropractic College.The three most common locations of presenting injury were the head (19%), foot (16%), and thigh (9%). The most common mechanism of presenting injury was found to be a defensive kick (44%), followed by an offensive kick (35%). The most commonly diagnosed injuries were contusions (36%), sprains (19%), and strains (15%). Coloured belts had a higher incidence of contusions, while black belts sustained more joint irritation injuries. Black belts were more likely to suffer multiple injuries. Colored belts suffered more injuries while receiving a kick, while black belts had a larger influence of past history of injury. We found no significant difference in location or type of injury when comparing pre versus post rule change. The most common locations of injury are head, foot, and thigh respectively, and are areas for concern when considering preventative measures. Colour belt competitors are more likely to sustain contusions, which the authors believe is due to more aggressive tactics and lack of control. Those more likely to be injured tend to be younger than 18 years. Recent rule changes have no significant effect on head injuries.
这项回顾性纵向研究旨在描述所报告的跆拳道损伤情况，并研究运动员的经验水平、年龄和性别与所遭受损伤的类型、部位及机制之间的关联。此外，我们还研究了成人跆拳道比赛中近期关于头部击打分值增加的规则变化是否影响了损伤发生率。本研究汇总了9年的比赛损伤报告数据，其中包括涵盖58场个人比赛的904份损伤报告。数据是在比赛期间受伤时通过标准化损伤报告收集的。为运动员提供了护理，但所提供护理的类型未纳入本研究。参与者包括在比赛中受伤并由医疗团队进行护理且填写了损伤报告的运动员。数据分析在加拿大纪念脊椎按摩学院进行。损伤最常出现的三个部位是头部（19%）、足部（16%）和大腿（9%）。损伤最常见的机制是防御性踢击（44%），其次是进攻性踢击（35%）。最常诊断出的损伤是挫伤（36%）、扭伤（19%）和拉伤（15%）。有色腰带选手挫伤的发生率较高，而黑带选手遭受更多关节刺激损伤。黑带选手更有可能遭受多处损伤。有色腰带选手在被踢时受伤更多，而黑带选手受既往损伤史的影响更大。在比较规则变化前后，我们发现损伤的部位或类型没有显著差异。损伤最常见的部位分别是头部、足部和大腿，在考虑预防措施时这些是需要关注的区域。有色腰带选手更容易遭受挫伤，作者认为这是由于战术更激进且缺乏控制。更容易受伤的人往往年龄小于18岁。近期的规则变化对头部损伤没有显著影响。
